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DR. KERN S. KOO, GENERAL &FAMILY MEDICINE, P.C.
NPI 1457501082
Clinic/Center - Primary Care in Little Neck, NY

Active since September 18, 2008
5133 MARATHON PKWY, LITTLE NECK, NY 11362(718) 357-3458(718) 357-3483 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kern S. Koo, General &family Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERN S. KOO, GENERAL &FAMILY MEDICINE, P.C. (NPI 1457501082) is a healthcare organization registered as a primary care in Little Neck, New York and active in the NPI registry since September 2008. The organization lists Kern Scott Koo, President, as its authorized official.

NPPES Registry Identity

NPI1457501082
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR. KERN S. KOO, GENERAL &FAMILY MEDICINE, P.C.
Location Address5133 MARATHON PKWYLittle Neck, NY 11362-1716
Mailing Address5133 Marathon PkwyLittle Neck, NY 11362-1716 · (718) 357-3458 · Fax (718) 357-3483
Phone(718) 357-3458
Fax(718) 357-3483
Organization SubpartNo
Authorized OfficialKern Scott KooPresident · (718) 357-3458
Enumeration DateSeptember 18, 2008
✔ NPI 1457501082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 221288
5133 MARATHON PKWY, Little Neck, NY 11362
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH44807NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kern S. Koo, General &family Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Kern S. Koo, General & family Medicine, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kern Koo, D.O.
Family Practice
NPI 1679797088
51-33 MARATHON PKWY
Little Neck, NY 11362
(718) 357-3458
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Kern S. Koo, General &family Medicine, P.C.'s NPI number?

The NPI number for Dr. Kern S. Koo, General &family Medicine, P.C. is 1457501082. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Dr. Kern S. Koo, General &family Medicine, P.C. located?

Dr. Kern S. Koo, General &family Medicine, P.C. is located at 5133 Marathon Pkwy, Little Neck, NY 11362. The listed phone number is (718) 357-3458.

What is Dr. Kern S. Koo, General &family Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Dr. Kern S. Koo, General &family Medicine, P.C. enrolled in Medicare?

Yes. Dr. Kern S. Koo, General &family Medicine, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Kern S. Koo, General &family Medicine, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr. Kern S. Koo, General &family Medicine, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Kern S. Koo, General &family Medicine, P.C. was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.